Books used during this block: Pance Prep Pearls
My Internal Medicine rotation was outpatient, which I was first bummed out about but I honestly had one of the best preceptors I’ve had during clinical year during this month that taught me so much about medicine. Internists have to be some of the smartest people in the medical field, they’re so extremely knowledgable! In his clinic, he mainly caters to elderly patients with multiple comorbidities like diabetes, hypertension, hyperlipidemia and more. Throughout this rotation, I realized how important medication reconciliation is, especially in the elderly population. I also gained a lot of confidence in the treatment of diabetes!
My schedule consisted of normal clinic hours 8-5pm Monday through Friday.
My GI rotation was about half clinic and half outpatient colonoscopy/endoscopy procedures. GI was an interesting rotation for me because I’ve never felt super comfortable in studying and retaining GI unless it was an emergency medicine presentation like “right lower quadrant pain”. So I think I eventually was getting the hang of it in terms of questions to ask people for a complete history from a gut standpoint. The nice thing about GI is that there is always a diagnostic test that you can offer a patient whether it be a colonoscopy or an upper endoscopy usually for a “final” diagnosis.
My schedule consisted of a little bit of a longer day on procedure days 7-5pm Monday through Friday.
I’ll be honest here, I only requested a Cardiology rotation because it is 16% (the highest percentage) of the PANCE exam. I wanted to have some real life examples to solidify the topics that we covered in didactic year. I do think I gained confidence in hypertension and post MI medication options, echocardiograms, stress tests, and atrial fibrillation! I still lack a lot of confidence in heart murmurs. I spent all of my time in the clinic besides one day spent in the Cath lab for a STEMI which was so interesting to see and be a part of.
My schedule consisted of normal clinic hours 8-4pm.